Terms of Reference for Medical Insurance Services at Premiere Urgence Internationale (PUI)

Premiere Urgence Internationale (PUI) is a non-governmental, non-profit, non-political and non-religious international aid organization. Our teams are committed to supporting civilians’ victims of marginalization and exclusion, or hit by natural disasters, wars and economic collapses, by answering their fundamental needs. Our aim is to provide emergency relief to uprooted people in order to help them recover their dignity and regain self-sufficiency.

PUI has been implementing humanitarian activities in Nigeria since April 2016, supporting population with food security, nutrition, health and protection project in Maiduguri and Borno State.

Applications are invited for:

Title: Terms of Reference for Medical Insurance Provider 

Location: Nigeria
Contract Duration: One year, from 01st July 2025 to 30th June 2026.

Background

• Premiere Urgence Internationale (PUI) is a non-governmental, non-profit, non-political, and non-religious international aid organization. Our teams are committed to supporting civilians’ victims of marginalization and exclusion, or hit by natural disasters, wars, and economic collapses, by answering their fundamental needs. Our aim is to provide emergency relief to uprooted people to help them recover their dignity and regain self-sufficiency. 
• The PUI Nigerian mission was officially opened in April 2016, with a focus on meeting urgent needs, including improving access to food commodities, primary health care and nutrition for internally displaced people (IDP) and host communities (HC) living in Maiduguri metropolitan council (MMC). 
• The progressive sectorial widening allowed PUI to start implementing an integrated approach from 2017 in food security, livelihoods, and nutrition and health sectors, with the support of ECH, FFP, OFDA and CIAA/CDC, in line with PUI’s global strategy. 
• From the launch of the health care services in February 2017 to the end of April 2018, a total of 119 913 OPD consultations were reached in Bolori 2, while more than 60.000 beneficiaries have been reached by our cash project. 
• In mid-2018, PUI has developed its comprehensive response by adding protection and community outreach (PCO) activities to the existing programs in Bolori 2. In the month of October 2018 only, more than 3.500 households have received door to door visit from the PCO team. 
• In 2018, PUI has also scaled up its intervention with the opening of Monguno LGA base, with the main objectives of reducing morbidity and mortality of the most vulnerable population and promoting protection amongst the whole affected community.
• PUI has been supporting the MOH in providing primary health care services through three outreach clinics and two PHCC and in 2021 transits to support 4 PHCC in Bolori 2 The severity of the needs and the reduction of the humanitarian access make PUI positioning in Health and Nutrition crucial, especially in Monguno where PUI has taken over some core activities from ALIMA at the beginning of 2021, after they closed their program there. 
• At the end of 2020, PUI launched an exploratory mission, along with INGO colleagues in Zamfara State (Northwest) and has developed a strategy for its upcoming intervention in the area.
• In 2022, PUI continues with its intervention as it considers the opening of PULKA field office, with the main objectives of reducing morbidity and mortality of the most vulnerable population and promoting protection amongst the whole affected community.
• PUI is seeking to cover the Medical Insurance for all employees and their dependants through a private insurance company.

General Requirements
The Insurance company should provide:

• National Health Insurance Scheme (NHIS) Accreditation
• Health Maintenance Organization (HMO) Documents
• The company’s references /Experiences in this domain (List of current clients)
• Health Network /Health providers (List of partner Healthcare centers/Hospitals in all Nigeria)
• Subcontracting / consortium documents with other HMO in the Group, If applicable
• A bank account certificate with the name of the company, CAC Certificate and Tax clearance for 2024
• Covered services/ Benefits
• The company should cover the health issues peculiar to female sex, to childbirth
• Exclusion lists
• Age Limit
• Number of sessions per Benefit per annum
• Cost of the covered services / benefits per annum according to the staff status:
  • Individual Package (for single staff)
  • Family Package (staff + spouse + 4 children up to 18, or up to 21 if still at school)

Specific Requirements

• The company should provide a medical insurance card to each new enrollee within the first month of his/her employment.
• The company should provide medical insurance to all PUI employees and their dependants in all Nigeria states. 
• The company should allow the staff to change his/her primary healthcare provider at his/her convenience.
• The employer (PUI) can request that the company replace an enrolee who terminated with another non-enrolled employee with the first 6 months of the enrolment year
• In the event where a former enrollee is not replaceable, the employer (PUI) can request the company a prorated premium calculation
• In case of having new staff or changing the status for one enrollee (from single to family package) within the quarter already paid, PUI will inform the company via official email with all required information including the starting month to add / adjust the staff data in the company system and the payment adjustment will be done at the end of each quarter.

Payment Modalities

• According to PUI policy, all payments will be done via bank transfer / by four instalments (at the beginning of each quarter based on the updated list provided by PUI)

Application Closing Date
14th March, 2025.

Method of Application
Interested and qualified Insurance companies should submit all the general
requirement above and financial proposal on a letter head paper to: [email protected], to Request for Quotation (RFQ).

Click here to download the RFQ Form (PDF)

Note: When sending the email, please put “ PUI NGA Medical Insurance Service for National Staff’’ as the subject line.